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"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 7-11Mucous membrane pemphigoid (MMP) is an autoimmune mucocutaneous blistering disease characterized by autoantibodies to components within the basement membrane zone. The lesions may produce risk of scarring of the canthus (symblepharon), inversion of the eyelashes (entropion) and trauma to the cornea (trichiasis). We reported a case of MMP in a 56-year old female with diabetes mellitus and hypertension whose ocular involvement has lead to blindness of the right eye. The diagnosis MMP was base on the history and clinical findings in oral medicine department. Management of this patient inclueded the administration of antifungal, corticosteroid ; diaminodiphenylsulfone, nutritional supplementation. oral hygiene promotion and consultation to internal medicine specialist and opthalmologis. The improvement of oral lesions progressed well within five months. we conclude that optimal improvement can be reached by comprehesieve management with controlling systemic factors and good cooperation between medical team and patient. and patien"

"Prevalensi hipertensi terus meningkat tajam, WHO memprediksi pada tahun 2025, sekitar 29% orang dewasa di seluruh dunia menderita hipertensi. Hipertensi telah mengakibatkan kematian sekitar 8 juta orang setiap tahun. Survei Riskesdas 2007 menunjukkan prevalensi hipertensi pada penduduk umur 18 tahun ke atas di Indonesia adalah sebesar 31,7%. Hipertensi stage 1 sebagai fase awal perlu ditemukan secara dini. Direkomendasikan untuk mencegah dan mengatasi hipertensi dengan diet sehat, aktivitas fisik teratur, menghindari konsumsi alkohol, mempertahankan berat badan dan lingkar pinggang ideal, serta hidup di lingkungan bebas asap rokok. Program pengendalian penyakit hipertensi perlu melakukan upaya pencegahan dan pengendalian agar tekanan darah tidak berlanjut menjadi tinggi dan mencegah komplikasi lebih lanjut.Penelitian ini bertujan untuk mengetahui hubungan obesitas sentral terhadap kejadian Hipertensi stage 1 di Posbindu Kota Padang Panjang. Penelitian menggunakan desain Cross Sectional Analitik, terhadap data sekunder kegiatan skrining Pengendalian Penyakit Tidak Menular (PPTM) Direktorat PTM, Ditjen PP-PL, Kemenkes RI tahun 2011. Responden dalam penelitian ini berusia 18-64 tahun. Analisis data menggunakan analisis stratifikasi dan multivariat cox regression. Dari hasil analisis data diperoleh prevalensi Hipertensi stage 1 sebesar 25,1% dan obesitas sentral sebesar 59,7%.Hasil analisis multivariat menunjukkan bahwa orang dengan obesitas sentral (Waist Circumference/WC laki-laki>90 cm, dan perempuan>80 cm) berisiko 1,5 kali (PR= 1,446; 95% CI 0,897 ? 2,329) terhadap kejadian Hipertensi stage 1 setelah di kontrol variabel umur, jenis kelamin, status pekerjaan, tingkat pendidikan dan stress. Kegiatan deteksi dini melalui skrining di Posbindu terutama pada orang yang obesitas sentral akan menjaring kasus hipertensi stage 1 (fase awal penyakit hipertensi). Pola hidup sehat, pengendalian stress dan mencegah terjadinya obesitas diharapkan menurunkan angka kejadian hipertensi stage 1.

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The Prevalence of hypertension tends to be increase, WHO predict in 2025, approximatelly 29% adults all around the world suffer hypertension. Hypertension caused death approximatelly 8 million people every year. Basic Health Survey in 2007 showed the prevalence of hypertension in community age above 18 year old were 31,7%. Hypertension stage 1 due to initial phase should to be found earlier. Recommended to prevent and control hypertension with healthy diet, regular physical activities, avoid alcohol consumption, maintaining ideal body weight and waist circumtances, and life in the smoke free enviroment. Hypertension programme control integrated in prevention and control effort to prevent progressing blood tension higher and the complication.The objectives of this study was to investigate the association between abdominal obesity and Hypertension stage 1 in Posbindu Padang Panjang. This is a cross sectional study, utilized the data from the result of screening by Directorate NCDC Directorate General DC & EH Ministry of Health, Republic of Indonesia. The inclusion criteria was Padang Panjang resident whom their ages 18-64 years. The data analysis was performed with stratification and cox regression multivariate analysis. The results of study showed the prevalence of Hypertension stage 1 was 25,1%, meanwhile the prevalence of abdominal obesity was 59,7%.The result of multivariate analysis showed that the people with abdominal obesity (waist circumference man> 90 cm and women> 80 cm) had 1,5 risk to get Hypertension stage 1 compared to the people who did not, after controlling for covariates, age, sex, working status, education level, and stress level (PR= 1,446; 95% CI: 0,897-2,329). Early detection and screening in Posbindu NCDC specially people with abdominal obesity become one of the strategies as the early detection of people with Hypertension stage 1. Healthy life style, controling stress level and prevent the obesity expected to reduce the prevalence of Hypertension stage 1."

"Operasi dan pemeliharaan merupakan dua aktifitas penting dalam kegiatan perusahaan pembangkit listrik melakukan kedua aktifitas tersebut sangatlah penting karena untuk dapat memberikan suplay listrik yang aman, cukup dan dapat dipercaya bagi konsumen, diperlukan pelaksanaan pemeliharaan serta operasi yang maksimal. PLTA Ir. H. Juanda merupakan perusahaan penyuplai listrik untuk lokasi Jawa Bali. Terjadinya kegagalan dalam sistem pemeliharaan dalam system pemeliharaan dan operasi menimbulkan resiko keselamatan dan kesehatan dan hilangnya sejumlah keuntungan bagi perusahaan. Oleh karena itu diperlukan analisis resiko kegagalan untuk mengidentifikasi, mengontrol dan meminimalkan dampak dari kegagalan tersebut. Adapun metode yang digunakan adalah FMEA Failure Methode and Effect Analysis, tujuan dari metode ini untuk melakukan analisa resiko dan memberikan masukan yang kritikal.

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For power plant company, both activities are very important because to give a save, enough and trustable electrical supply for the costumer, that operation and maintenance must be maximum. PLTA Ir. H. Juanda is a company that supply electrical for java and bali.

Failure that happens in operation and maintenance system can cause a safety and health risk and loss electrical supply for the costumer that effects company profit. That rsquo s why risk analysis needed to identify, control and to reduce the cost of failure. In this case use FMEA method for knowing the risk analysis and for give critical preventive. "

"Latar belakang: Setiap hari di Indonesia, diperkirakan terjadi kematian 38 ibuakibat komplikasi kehamilan dan persalinan. Salah satu pilar strategi menurunkanangka kematian ibu adalah asuhan antenatal. Kualitas asuhan antenataldipengaruhi oleh kelengkapan pengisian buku Kesehatan Ibu dan Anak (KIA) dankesesuaian jumlah kunjungan antenatal di setiap trimester kehamilan. Sebagianbesar kasus rujukan ibu hamil di IGD RSCM datang dengan komplikasi beratyang seharusnya dapat terdeteksi dini pada saat asuhan antenatal.Tujuan: (1) Menentukan kualitas asuhan antenatal pada kasus rujukan ibu hamildi IGD RSCM yang memiliki buku KIA (2) Menentukan persepsi ibu hamil yangdirujuk ke IGD RSCM yang memiliki buku KIA dan tenaga kesehatan pemberilayanan kesehatan tentang asuhan antenatalMetode: Dilakukan studi kuantitatif dan kualitatif pada kasus rujukan ibu hamildi IGD RSCM yang memiliki buku KIA tahun 2017-2018. Pengambilan datakuantitatif dilakukan dengan telaah kelengkapan pengisian buku KIA secaraumum, halaman identitas keluarga (halaman viii), halaman catatan kesehatan ibuhamil menyambut persalinan (halaman 19), halaman catatan kesehatan ibu hamilyang diisi oleh petugas kesehatan (halaman 20-23) yang menggambarkan asuhanantenatal. Kelengkapan komponen asuhan antenatal di fasilitas layanan kesehatan(fasyankes) asal asuhan antenatal didapatkan dari survei ke fasyankesmenggunakan daftar tilik. Pengambilan data kualitatif dilakukan denganwawancara mengenai persepsi ibu hamil yang dirujuk ke IGD RSCM dan tenagakesehatan pemberi pelayanan asuhan antenatal di fasyankes asal asuhan antenatalHasil: Terdapat 1442 kasus rujukan ibu hamil di IGD RSCM selama tahun 2017-2018, 57% di antaranya memiliki dan dapat menunjukkan buku KIA. Terdapatsubjek dengan usia kehamilan remaja dibawah 20 tahun (9.1%) dan usia tidakideal untuk hamil diatas 35 tahun (19.5%). Sebagian besar ibu hamil yang dirujukcukup berpendidikan (74.3%), dirujuk oleh RS atau klinik (58%) dan mendapatasuhan antenatal di puskesmas (39%), dalam status persalinan inpartu (32%),dengan usia kehamilan trimester III (92%). Semua subjek (100%) dinyatakantidak lengkap dalam kelengkapan pengisian seluruh halaman di buku KIA.Hampir dari setengah subjek mempunyai jumlah antenatal yang tidak ideal (46%).Kelengkapan komponen asuhan antenatal di fasyankes asal asuhan antenatalberkisar 90-100%. Secara kualitatif, didapatkan persepsi ibu hamil yang dirujuk keIGD RSCM dan tenaga kesehatan pemberi asuhan antenatal masih kurang tepatKesimpulan: Kualitas asuhan antenatal pada kasus rujukan ibu hamil di IGDRSCM berdasar rekam Buku KIA belum baik.

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Background: Every day in Indonesia, an estimated number of 38 deaths ofmother happen from complicated pregnancy and delivery. Antenatal care standsas one of the pillars sustaining the strategy to reducing maternal mortality. Thequality of antenatal care is affected by completeness filling of KIA book andsuitability of antenatal care frequency. Most of the referral case of pregnantwoman in emergency room (ER) Cipto Mangunkusumo Hospital come with severecomplications which should be detected early during antenatal care.Aim: (1) To determine the quality of antenatal care received by pregnant women.(2) To determine the perception of pregnant women and antenatal care providersregarding antenatal care.Method: A set of quantitative and qualitative study of cases of referred pregnantwomen in ER Cipto Mangunkusumo Hospital who had and could show KIAsbook in year 2017-2018 was conducted. Quantitave data was obtained byassessing the completeness filling of KIA books generally, the family identitiypage (page viii) and mothers health record page (page 19, page 20-23) as theyreport the antenatal care received by the subjects. The completeness of antenatalcare in health facility was obtained using checklist. Qualitative data was obtainedby interviewing pregnant women referred to ER Cipto Mangunkusumo Hospitalin year 2017-2018 and antenatal care providers in health facility.Result: There were 1442 cases of referred pregnant women in ER CiptoMangunkusumo Hospital in year 2017-2018, 820 of them had and could showKIA books. Pregnancy in adolescence age below 20 (9.1%) and pregnancy afterage 35 (19.5%) were existed. Most pregnant women are well educated (74.3%),referred from hospital or clinic (57.6%), had antenatal care in public health center(38.7%), were in labor (32%), and were in third trimester of pregnancy (92%). Allsubjects (100%) had their KIA books generally incompletely filled (100%).Almost half of subjects had unsuitable antenatal frequency(46%). Thecompleteness of antenatal care components in health care is 90-100%.Qualitatively, the perception of mother and antenatal care providers is stillimproper.Conclusion: The quality of antenatal care in the case of referral pregnant womenat the ER RSCM based on KIs book record is still not good"